Provider Demographics
NPI:1841041928
Name:WOODS, LAURA JANE (RDH)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:JANE
Last Name:WOODS
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:JANE
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDH
Mailing Address - Street 1:1420 OLD TOWN CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-6935
Mailing Address - Country:US
Mailing Address - Phone:937-371-0913
Mailing Address - Fax:
Practice Address - Street 1:1923 W 3RD ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-2565
Practice Address - Country:US
Practice Address - Phone:937-371-0913
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDH6841124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist